<!DOCTYPE html>
<html lang="en-US">
  <head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width">
    <title>:read-only demo — confirmation form</title>
    <link href="https://fonts.googleapis.com/css?family=Josefin+Sans&display=swap" rel="stylesheet">
    <style>
      body {
        font-family: 'Josefin Sans', sans-serif;
        margin: 20px auto;
        max-width: 460px;
      }

      fieldset {
        padding: 10px 30px 0;
        margin-bottom: 20px;
      }

      legend {
        color: white;
        background: black;
        padding: 5px 10px;
      }

      fieldset > div {
        margin-bottom: 20px;
        display: flex;
        justify-content: space-between;
      }

      button, label, input[type="text"], textarea {
        display: block;
        font-family: inherit;
        font-size: 100%;
        padding: 0;
        margin: 0;
        box-sizing: border-box;
        padding: 5px;
        height: 30px;
      }

      input[type="text"], textarea {
        width: 50%
      }

      textarea {
        height: 110px;
        resize: none;
      }

      label {
        width: 40%;
      }

      input:hover, input:focus, textarea:hover, textarea:focus {
        background-color: #eee;
      }

      button {
        width: 60%;
        margin: 20px auto;
      }

      input:read-only, textarea:read-only {
        border: 0;
        box-shadow: none;
        background-color: white;
      }

      textarea:read-write {
        box-shadow: inset 1px 1px 3px #ccc;
        border-radius: 5px;
      }
    </style>
  </head>

<body>
    <form>
      <fieldset>
        <legend>Check shipping details</legend>
        <div>
          <label for="name">Name: </label>
          <input id="name" name="name" type="text"
                 value="Mr Soft" readonly>
        </div>
        <div>
          <label for="address">Address: </label>
          <textarea id="address" name="address" readonly>
23 Elastic Way,
Viscous,
Bright Ridge,
CA
</textarea>
        </div>
        <div>
          <label for="pcode">Zip/postal code: </label>
          <input id="pcode" name="pcode" type="text"
                 value="94708" readonly>
        </div>
      </fieldset>

      <fieldset>
        <legend>Final instructions</legend>
        <div>
          <label for="sms-confirm">Send confirmation by SMS?</label>
          <input id="sms-confirm" name="sms-confirm" type="checkbox">
        </div>
        <div>
          <label for="instructions">Any special instructions?</label>
          <textarea id="instructions" name="instructions"></textarea>
        </div>
      </fieldset>

      <div><button type="button">Amend details</button></div>
      <div><button type="submit">Submit</button></div>
    </form>
</body>

</html>
